Ultrasonography and Computed Tomography Guided Fine Needle Aspiration Cytology in Diagnosing Intra-Abdominal Lesions- A 6-Year Retrospective Study in a Tertiary Care Hospital in Manipur

Konjengbam, Ratan; Huidrom, Napoleon; Akoijam, Ningthibi Jessica; Sorokhaibam, Babina

doi:10.18410/jebmh/2017/701

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…[3] The most common site of aspiration was liver in the present study. This was comparable with the studies carried out by Sanjay Kumar Nigam et al [4] [5] (2016), Ratan Konjengbam et al [6] 2017 and Glaxon et al [7] (2018) where the most common site for FNAC was also liver. This was because patient symptomatically presents earlier in cases of liver masses with complains of abdominal pain and abdominal mass.…”

Section: Discussionsupporting

confidence: 90%

Cytomorphological Study of Hepatic Lesions by FNAC

Vyas¹,

Patel²,

Patel³

et al. 2022

Ann of Pathol and Lab Med

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Introduction: Fine Needle Aspiration Cytology (FNAC) is a simple, safe, very low-cost and rapid procedure for diagnostic purpose which makes surgical intervention and exploratory laparotomy unnecessary. The introduction of modern diagnostic imaging techniques, mainly ultrasonography (USG) and Computerized Tomography (CT), has enabled the detection and location of lesions in sites such as liver, which are not easily accessible to surgical biopsies. Aim: To assess the utility of FNAC in the diagnosis of liver lesions. To study the cytomorphological features, age and sex distribution of liver lesions. Materials and methods: The study included 24 liver lesions which were detected clinically or radiologically. USG guided FNA was done in all cases. The smears were stained with Haematoxylin and eosin (H and E), May Grunwald Giemsa (MGG) and Papanicolaou’s stains. A cyto-histopathological correlation was done wherever possible. From the residual material, additional slides and cell blocks were prepared. Special stains were used whenever required. In doubtful cases immunohistochemistry (IHC) was done on formalin-fixed paraffin cell blocks and immunocytochemistry on conventional smears wherever necessary and possible. Results: All the lesions were found to be malignant. Out of 24 liver FNA cases, maximum lesions were seen in females and the affected age group for liver malignancies was 51-60 years. Out of 24 liver FNA cases, 20 cases were metastatic and 4 were primary cases. Among metastatic cases, maximum cases were of metastatic adenocarcinoma and the primary lesions of liver included all cases of hepatocellular carcinoma. Conclusion: Fine needle aspiration cytology of liver is a simple, safe, repeatable and rapid diagnostic procedure. In case of hepatic lesions, it is of outmost advantage in recognizing the nature of lesion i.e., primary, and metastatic as well as in early diagnosis of lesion so that patient can be treated as early as possible.

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Section: Discussionsupporting

confidence: 90%

Cytomorphological Study of Hepatic Lesions by FNAC

Vyas¹,

Patel²,

Patel³

et al. 2022

Ann of Pathol and Lab Med

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show abstract

“…The most common site of aspiration was liver in the present study. This was comparable with the studies carried out by Sanjay Kumar Nigam et al 13 (2014), Dr. Suva Chetal M 9 (2016), Ratan Konjengbam et al 11 2017 and Glaxon et al 8 (2018) where the most common site for FNAC was also liver.…”

Section: Discussionsupporting

confidence: 86%

“…In present study right hypochondrium was the most common site. The same was observed in studies carried out by Glaxon et al 8 (2018), Ratan Konjengbam et al 11 (2017) and Dr. Suva Chetal M 9 (2016) and where also right hypochondrium was the most common site. This is because of maximum cases noted are of liver.…”

Section: Discussionsupporting

confidence: 79%

Cytomorphological study of intraabdominal lesions by FNAC

Patel¹,

Vyas

Bhagat³

et al. 2022

ACHR

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Fine Needle Aspiration Cytology (FNAC) is a simple, safe, low-cost and rapid procedure for diagnostic purpose which makes surgical intervention and exploratory laparotomy unnecessary. The deep seated organs like gall bladder, spleen, pancreas, retroperitoneum and ovary are sampled safely and routinely aspirated using the fine needle under radiological guidance. To assess the utility of FNAC in the diagnosis of intraabdominal lesions, to study the cytomorphological features and to determine the reliability of ultrasonography guided FNAC in distinguishing neoplastic from non-neoplastic intraabdominal mass lesions. The study included 48 intra-abdominal lesions which were detected clinically or radiologically. USG guided FNA was done whenever indicated. The smears were stained with Haematoxylin and eosin (H and E), May Grunwald Giemsa (MGG) and Papanicolaou’s stains. Among 48 cases, 45 cases were usg-guided, 2 cases were blind and one case was intraoperative. The diagnostic yield of usg-guided FNAC was 84.4%.Majority of aspirations were done in the age group of 51-60 years with male:female ratio of 1:1.53. Most common organ subjected to FNA was Liver followed by ovary. Majority of the lesions were found to be malignant. The most common lesion encountered in the whole study was metastastatic carcinoma. Fine needle aspiration cytology is a repeatable and rapid diagnostic procedure that has application in the evaluation of deep seated abdominal mass lesions. With the help of radiological guidance, diagnostic accuracy of FNAC of deep seated lesions dramatically increases.

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Ultrasonography and Computed Tomography Guided Fine Needle Aspiration Cytology in Diagnosing Intra-Abdominal Lesions- A 6-Year Retrospective Study in a Tertiary Care Hospital in Manipur

Cited by 2 publications

References 8 publications

Cytomorphological Study of Hepatic Lesions by FNAC

Cytomorphological Study of Hepatic Lesions by FNAC

Cytomorphological study of intraabdominal lesions by FNAC

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